| NPI | 1316220981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71005262A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9283675) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: MI 4704294811) | |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2021-11-18 |